Individual
DR. KRISTEN-KAYE GOULBOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5153 N 9TH AVE, PENSACOLA, FL 32504-8785
(850) 416-7710
(850) 416-6729
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 450-6401
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME146961
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
0101262279
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101262279
COMMONWEALTH OF VIRGINIA
VA
Enumeration date
06/02/2014
Last updated
02/25/2021
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